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Fungal Culture Of Skin, Hair Or Nail

Missouri rates for HCPCS 87101

A scraping or clipping of skin, hair or nail is placed on a growth medium in the laboratory to see whether a fungus grows, and anything that grows is given a preliminary identification. It is used to confirm conditions such as ringworm, athlete's foot or a fungal nail infection before treatment is started. Fungi grow slowly, so results take longer than a bacterial culture.

Rates data updated July 2026.

How much does Fungal Culture Of Skin, Hair Or Nail cost?

$10.00

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $10.00 for this service. The price depends on where it is billed: about $7.41 from a physician practice, and about $12.88 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.41$5.62 to $12.88
FacilityA hospital or hospital-owned outpatient department$12.88$8.91 to $27.54

How much rates vary

Facilitymedian $13 · 10th to 90th $7 to $66Professionalmedian $7 · 10th to 90th $4 to $17
$5$10$20$50$100facility $13professional $7

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$13.49
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$8.91
Typical High
$15.14
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$26.92
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$6.03
Typical High
$19.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$11.75
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$14.79
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$7.41
Typical High
$19.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$13.49
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.68
Typical High
$9.55
United
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$7.76
Typical High
$10.23
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$5.01
Typical High
$10.00

Where Missouri sits

The same service costs 3.9 times more in South Carolina than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Missouri· 13th of 51

$10.00

SC $22.39DC $5.75

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.